Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Adam Bloxham, PA-C

Individual provider Physician Assistant · NPI 1558161695

Samuel Adam Bloxham, PA-C is a Physician Assistant in Santa Clara, Utah. Qualified in 2023, 3 years ago. Practices with Exodus Healthcare Network PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2286 Malaga Ave
Santa Clara, UT 84765-5485
Phone: (435) 215-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14206396-1206 (UT)

Record details

NPI number1558161695
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Exodus Healthcare Network Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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